Kap 2: Diagnosis Flashcards
What is the goal of a clinical Interview?
To figure out the psychological functioning of the person
With which questionnaire do you measure general Symptoms?
SCL-90-R
Symptom Check List 90 Revised
-> Symptoms on 10 scales
With which questionnaire do you assess interpersonal problems?
IIP-64
Inventory of Interpersonal Problems (Circumplex) 64
Submissiveness<->Dominance
Hostile<->Friendlyness
Which questionnaire assesses Self Esteem
SASB
Structural Analysis of Social Behaviour
Other/Self focus
Affiliation/Hostility
Interdependence/Independence
Which questionnaire measures Attachment?
PBI
Parental Bonding Inventory
Parenting style until the age of 16. Can measure neglect
It measures on two scales:
Care and Overprotection
MOPS (Measure of Parenting Style) is a newer version (1997) and includes an abuse scale.
Questionnairs to measure General functioning
GAF + WHODAS
Global Assessment of Functioning (1-100 score)
WHO Disability Assessment Schedule
Things that should be taken up in a first interview?
ISOMERASE C
Interests/Resources
Social functioning
Occupation
Motivation to change
Earlier treatments
Reason for taking contact
Anamnetic information
Symptoms/problems
Education/training
Cohabitation
What are other things the therapist should pay attention to in the clinical interview?
Especially when different from how the client sees it:
Concentration
Communication
Changes in Mood
Clothing
Mood
Memory
Thought processes
Hygene
Which questionnaires that are usually used in Diagnostic interviews?
MINI
ADIS-5
SCID
What is ALWAYS assessed in a diagnostic interview?
A Suicide risk (assessment)
What is the MINI?
Mini International Neuropsychiatric Interview
Screens for ICD-10 diagnoses.
Is short (15min)
What is the ADIS-5?
Anxiety and related Disorders Interview Schedule for DSM-5
Is rather long
What is the SCID?
Structured Clinical Interview for DSM
Is used for Axis-I disorders (major ones)
SCID-II Is used for Personality Disorders
Which questionnaire is used for testing executive functioning?
D-KEFS
(Delis-Kaplan Executive Functioning System)
Which questionnaire is used for testing dementia?
MMSE
Mini Mental State Examination.
BUT: No diagnosis!!
What are the three main scores the MMSE can give?
Mild: 20-26 points: Person can live at home with some help (maybe driving?)
Moderate: 10-19 Points: Needs help at home, Problems occur in communication and reasoning. 3A: Aphasia, Agnosia, Apraxia
Serious: <10 Points: Person needs help 24/7, conversation impaired, cognitive issues can lead to extreme behaviour.
Later: Motor issues
How can you assess general intelligence?
RPM (Ravens Progressive Matrices)
WAIS-IV (Wechsler Adult Intelligence Scale -IV edition)
What are some problems with (psychological) tests?
If they are made in one part of the world, people in another might score differently (bias)
Difficulties in communication might influence the results -> The test should be adapted by the person administering it
When should one consider consulting the (social) environment for making a diagnosis?
When the person is missing insight into their struggles (forgotten/part of the diagnosis)
What should always be focus and explored in a clinical Interview?
Resilience and Resistance in the client.
What can be challenges when doing diagnosis?
Resistance when giving information:
- when sendt there against their will
- When paranoid
- When uncomfortable sharing
When unaware:
- Serious personality disorder
- Psychosis
Secondary intentions:
Wanting/avoiding a diagnosis
Getting benefits from getting the diagnosis
